Inspection Reports for The Jewish Home for Rehabilitation and Nursing
1151 West Main Street, NJ, 07728
Back to Facility Profile
Notice
Deficiencies: 0
Nov 20, 2025
Visit Reason
This document serves to inform individuals about the privacy practices of NJDHSS, including how their medical information may be used and disclosed, and their rights related to this information.
Findings
The notice explains the types of information covered, reasons for use and disclosure of health information, individuals' rights to access and control their information, and the legal duties of NJDHSS to protect privacy.
Report Facts
Effective date: 2011
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Devon L. Graf | Director, Office of Legal and Regulatory Compliance | Listed as NJDHSS Privacy Officer contact for questions about the notice |
Inspection Report
Routine
Census: 137
Capacity: 150
Deficiencies: 7
May 2, 2023
Visit Reason
A recertification survey was conducted to determine compliance with 42 CFR Part 483, Requirements for Long Term Care Facilities. Complaint investigations were also completed during this survey.
Findings
The facility was found not in compliance with several standards including grievance resolution, medication administration, respiratory care, pharmacy services, staffing ratios, and infection control. Deficiencies were cited and plans of correction were required.
Complaint Details
Complaint #NJ00160939 was substantiated. The facility failed to observe residents taking medication or assess them for medication administration errors. Medication error rate was found to be 20%, exceeding the allowed 5%.
Severity Breakdown
Level D: 5
Level E: 2
Deficiencies (7)
| Description | Severity |
|---|---|
| Failure to resolve a resident's grievance in a timely manner. | Level D |
| Failure to meet professional standards in medication administration and assessment. | Level D |
| Failure to provide respiratory care including tracheostomy care and suctioning according to professional standards. | Level D |
| Failure to provide pharmaceutical services in accordance with professional standards including drug accountability and medication reconciliation. | Level E |
| Failure to maintain minimum direct care staffing ratios as mandated by the state. | Level D |
| Failure to ensure employees had completed required Mantoux tuberculin skin testing upon hire. | Level D |
| Failure to maintain medication error rates below 5 percent. | Level E |
Report Facts
Census: 137
Total Capacity: 150
Sample Size: 35
Medication Error Rate: 20
Medication Opportunities Observed: 25
Medication Errors Observed: 5
Staffing Deficiencies: 14
Staffing Deficiencies: 49
Inspection Report
Complaint Investigation
Census: 128
Deficiencies: 1
Jun 1, 2022
Visit Reason
The inspection was conducted based on complaints NJ 151308 and 150760 alleging deficiencies in resident records and documentation practices.
Findings
The facility was found not in substantial compliance with requirements related to resident-identifiable information and medical record documentation. Specifically, the facility failed to follow its 'Charting Documentation' policy for 2 of 5 sampled residents, with numerous incomplete or missing documentation entries across multiple care tasks.
Complaint Details
Complaint # NJ 151308, 150760. The facility was found not in substantial compliance based on these complaints regarding incomplete and inaccurate resident medical record documentation.
Severity Breakdown
SS=B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to complete documentation of Activities of Daily Living (ADL) tasks for Resident #1 and Resident #4, including incontinence care, skin care, turning and repositioning, eating support, and other nursing tasks. | SS=B |
Report Facts
Census: 128
Sample size: 5
Documentation blanks: 19
Documentation blanks: 21
Documentation blanks: 20
Documentation blanks: 15
Documentation blanks: 15
Documentation blanks: 20
Documentation blanks: 5
Documentation blanks: 43
Documentation blanks: 39
Documentation blanks: 43
Documentation blanks: 20
Documentation blanks: 60
Documentation blanks: 62
Documentation blanks: 62
Documentation blanks: 44
Documentation blanks: 62
Documentation blanks: 24
Documentation blanks: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing | Interviewed on 5/31/2022 regarding responsibility for ensuring documentation completion and acknowledging the impact of blanks in care records. |
Inspection Report
Complaint Investigation
Census: 125
Deficiencies: 2
Sep 13, 2021
Visit Reason
The inspection was conducted as a complaint survey based on complaints NJ146057, NJ145729, and NJ145571 regarding notification of changes in resident condition and quality of care issues.
Findings
The facility failed to notify the family/responsible party of a resident's hospital transfer and failed to ensure quality of care for a resident with delayed treatment, including failure to timely report changes in condition to the physician and carry out physician orders. These failures contributed to the abrupt decline and death of Resident #3.
Complaint Details
Complaint Intake NJ145571 and NJ145729. Resident #2's family was not notified of hospital transfer. Resident #3 experienced delayed treatment and monitoring, resulting in abrupt decline and death. Family complaints included inability to reach facility and concerns about resident condition.
Severity Breakdown
SS=D: 1
SS=G: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to notify family/responsible party of Resident #2's hospital transfer. | SS=D |
| Failure to ensure quality of care for Resident #3, including delayed treatment, failure to monitor and report changes in condition, and failure to carry out physician orders. | SS=G |
Report Facts
Census: 125
Sample Size: 7
Deficiencies cited: 2
Heart Rate readings: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| LPN #2 | Licensed Practical Nurse | Named in failure to notify family of hospital transfer and in quality of care findings |
| LPN #1 | Licensed Practical Nurse | Named in quality of care findings related to Resident #3 |
| RN #1 | Registered Nurse | Named in quality of care findings related to Resident #3 |
| Director of Nursing | DON | Acknowledged failures in notification and quality of care |
| Medical Director | MD | Attending physician involved in Resident #3 care and findings |
| Director of Rehab | DCR | Consulted regarding Resident #3's fluctuating heart rate |
| Certified Nurse Aide #1 | CNA | Reported Resident #3 complaints and condition on day of death |
Inspection Report
Annual Inspection
Census: 114
Deficiencies: 2
Jul 9, 2021
Visit Reason
A Recertification Survey was conducted to determine compliance with 42 CFR Part 483, Requirements for Long Term Care Facilities.
Findings
Deficiencies were cited related to failure to appropriately administer medication, document medication administration and physician communication for one resident, and failure to ensure a call light was within reach for a resident with a history of falls.
Severity Breakdown
SS=D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to appropriately administer medication in accordance with a physician's order, accurately document medication administration, and document communication with the physician for one resident. | SS=D |
| Failure to ensure a call light was placed within reach for a resident with a history of falls. | SS=D |
Report Facts
Census: 114
Sample Size: 27
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| RN #1 | Registered Nurse | Observed administering medication and interviewed regarding medication administration to Resident #96 |
| LPN/UM | Licensed Practical Nurse/Unit Manager | Interviewed regarding medication administration and physician communication for Resident #96 |
| CNA #1 | Certified Nursing Aide | Interviewed regarding Resident #96's condition and communication with nurse |
| CNA #2 | Certified Nursing Aide | Interviewed regarding call light placement for Resident #53 |
| Director of Nursing | Director of Nursing | Interviewed regarding call light placement policy and medication administration documentation |
Inspection Report
Life Safety
Deficiencies: 2
Jul 6, 2021
Visit Reason
A Life Safety Code Survey was conducted by the New Jersey Department of Health on 07/06/2021 to assess compliance with Medicare/Medicaid participation requirements related to Life Safety from Fire and the 2012 Edition of the NFPA 101 Life Safety Code.
Findings
The facility was found to be in noncompliance with emergency lighting requirements due to lack of battery backup emergency light above the emergency generator transfer switch, and hazardous areas were not properly enclosed with self-closing doors in one of three nursing units, with storage of combustible materials in these areas.
Severity Breakdown
SS=D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failed to provide a battery backup emergency light above the emergency generator transfer switch to provide required illumination automatically during power interruption. | SS=D |
| Failed to provide hazardous areas with self-closing doors in 1 of 3 nursing units; rooms used for storage of mattresses, night stands, beds, wheelchairs, and resident clothing were not properly enclosed. | SS=D |
Report Facts
Number of nursing units with deficient hazardous area doors: 1
Number of mattresses stored improperly: 5
Number of wooden composite night stands stored improperly: 3
Number of resident room beds with wooden composite parts stored improperly: 3
Number of wheelchairs stored improperly: 19
Number of plastic bags of resident clothing stored improperly: 8
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance Director | Present during observation and interview confirming lack of emergency light and hazardous area door deficiencies | |
| Regional Representative | Present during observation and interview confirming deficiencies | |
| Administrator | Informed of findings during Life Safety Code survey exit |
Inspection Report
Complaint Investigation
Census: 120
Deficiencies: 1
Apr 30, 2021
Visit Reason
The inspection was conducted based on a complaint visit (Complaint# NJ 142255) to assess compliance with long term care facility regulations.
Findings
The facility was found not in substantial compliance with 42 CFR Part 483, Subpart B, specifically failing to follow professional standards and their own policies in the treatment and prevention of pressure ulcers for one sampled resident. Deficiencies were related to improper wound care practices and hand hygiene by nursing staff.
Complaint Details
Complaint# NJ 142255. The facility was found not in substantial compliance based on this complaint visit.
Severity Breakdown
SS=D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to follow professional standards and facility policy in treatment and prevention of pressure ulcers for Resident #1, including improper hand hygiene and wound care technique by nursing staff. | SS=D |
Report Facts
Sample Size: 3
Loading inspection reports...
